A NAD analogue which can be covalently bound to dehydrogenases
In these situations, its usually recommended that you supplement your diet with either a B12 shot or oral supplement
This is common in conditions like pernicious anemia, Crohn's disease, or after certain stomach surgeries
Post-Gastrointestinal Surgery Patients: If youve undergone surgeries such as gastrectomy or weight loss surgery, we can help monitor and address any potential nutrient deficiencies, including B12
Because muscles have a rich blood supply, your body can access the vitamin very quickly
The mechanism sits upstream of anything you can feel: blocking NNMT stops nicotinamide being methylated into 1-MNA, which raises intracellular NAD+ and SAM and suppresses fat-cell lipogenesis